Person

Avery Meridian

Active⚠ 1

78 yrsPrimaryConsumers5y4m

Encounters3 total2 L1211d sinceAug 2 next3 tot2 L1211dAug 2

VitalsBP 132/84Weight 198 lbBMI 29.1

ConditionsType 2 diabetes mellitus metabolicEssential hypertension cardiovascular—

Rx evidenceAtorvastatin 40 mg StatinLisinopril 10 mg Antihypertensive—

Clinical priorityPriority15/100v1ModerateBackground only

Foundational riskRisk22/100v1Action

Depth34/5562%

Breadth12/25 markers4/5 domains12/25M4/5D

Clinical Timeline

13 dated events

Verified T123Since verified11dNext scheduledAug 2Cancelled T121No-shows T121Care-mode mix2 in-person · 1 virtual

AllCareLabsMedicationsScheduledUnverified

Date	Type	Clinical activity	Evidence
2026-08-02	APPOINTMENT	Virtual · scheduled · booked 2026-07-14 · 19 days lead	appt › Appointment posture scheduled care — not a verified encounter and not completed care Booking evidence Booked 2026-07-14; 19 days lead time Completion boundary Scheduled care is not completed care
2026-07-14	ENCOUNTER	Annual physical · verified · in-person · DX E11.9, I10, E78.5 · CPT 99396, 99214 · Blood pressure 132/84 mmHg · Weight 198 lb · BMI 29.1 · labs attached	note · appt · labs · vitals › Verification basis clinical note present Provider / location evidence Provider name unavailable; Encounter location unavailable Complete diagnoses E11.9, I10, E78.5 Complete CPT / procedures 99396, 99214 Note evidence pending source promotion — note id, type, lifecycle, author, and location are not promoted; authorized source text loads only on explicit operator action; excluded from the initial payload Same-day vitals / labs Blood pressure 132/84 mmHg · Weight 198 lb · BMI 29.1 · labs attached Medication activity No medication event is attached to this encounter Source identifiers / lineage Hashed identifiers remain in Record Evidence and are not promoted onto the clinical row
2026-07-10	LAB	lipids, CMP, CBC · LDL 118 · total chol 204 · HDL 44 · triglycerides 168 · TSH conflicted · CPT 80053, 85025	results › Event relationship This dated lab event has no governed encounter relationship and remains a separate row Complete procedure lines 80053 (1 line) · 85025 (1 line) Marker intelligence Complete result history and STD / GL / PREC interpretation remain in Foundational Health
2026-07-02	LAB	hsCRP · hsCRP 3.4 mg/L — source-quiet, guideline-flagged	results › Event relationship This dated lab event has no governed encounter relationship and remains a separate row Complete procedure lines No procedure code is attached Marker intelligence Complete result history and STD / GL / PREC interpretation remain in Foundational Health
2026-06-30	MEDICATION	Atorvastatin 40 mg · Lisinopril 10 mg	2 orders › Medication posture Order evidence indicates presence, never adherence; complete history remains in Medications Source Verve EHR order · Verve EHR order
2026-05-19	APPOINTMENT	In-person · cancelled · booked 2026-04-28 · 21 days lead	cancellation fact › Appointment posture appointment fact only Booking evidence Booked 2026-04-28; 21 days lead time Completion boundary Appointment status is not a verified encounter
2026-05-19	EVIDENCE	Diagnosis candidate · unverified · billing source	held › Truth posture attached_to_note_candidate_not_verified_held Relationship boundary The shared date does not attach this held line to the appointment row
2026-01-08	ENCOUNTER	Follow-up · verified · virtual · DX E11.9, I10 · CPT 99213 · Blood pressure 128/82 mmHg · Weight 201 lb · BMI 29.5	vitals › Verification basis clinical note present Provider / location evidence Provider name unavailable; Encounter location unavailable Complete diagnoses E11.9, I10 Complete CPT / procedures 99213 Note evidence No governed note payload is promoted for this encounter Same-day vitals / labs Blood pressure 128/82 mmHg · Weight 201 lb · BMI 29.5 Medication activity No medication event is attached to this encounter Source identifiers / lineage Hashed identifiers remain in Record Evidence and are not promoted onto the clinical row
2025-11-03	APPOINTMENT	In-person · no-show · booked 2025-10-06 · 28 days lead	no-show fact › Appointment posture appointment metric — never a visit Booking evidence Booked 2025-10-06; 28 days lead time Completion boundary Appointment status is not a verified encounter
2025-07-02	ENCOUNTER	Annual physical · verified · in-person · DX E11.9, I10 · CPT 99396, 99214 · Blood pressure 140/90 mmHg · Weight 205 lb · BMI 30.1 · labs attached	labs · vitals › Verification basis clinical note present Provider / location evidence Provider name unavailable; Encounter location unavailable Complete diagnoses E11.9, I10 Complete CPT / procedures 99396, 99214 Note evidence No governed note payload is promoted for this encounter Same-day vitals / labs Blood pressure 140/90 mmHg · Weight 205 lb · BMI 30.1 · labs attached Medication activity No medication event is attached to this encounter Source identifiers / lineage Hashed identifiers remain in Record Evidence and are not promoted onto the clinical row
2025-04-10	LAB	A1c · A1c 6.1% — source-quiet, above the 2025 guideline threshold	results › Event relationship This dated lab event has no governed encounter relationship and remains a separate row Complete procedure lines No procedure code is attached Marker intelligence Complete result history and STD / GL / PREC interpretation remain in Foundational Health
2023-02-10	LAB	renal panel · creatinine 1.1 · eGFR observed but unmapped	results › Event relationship This dated lab event has no governed encounter relationship and remains a separate row Complete procedure lines No procedure code is attached Marker intelligence Complete result history and STD / GL / PREC interpretation remain in Foundational Health
2021-03-01	ELIGIBILITY	Northstar Fabrication · primary member · replaced the prior Marathon eligibility period	eligibility

Show all 13 events ↓Show recent events ↑

Undated / unattached evidence (1)

Date	Type	Clinical activity	Evidence
Undated	EVIDENCE	Unattached note pointer · ambiguous · unverified	note pointer › Linkage ambiguous — pointer only, not a verified relationship Metadata kept as distinct note evidence; never fabricates an encounter, episode, or completed-care fact Authorized text not reachable — no governed relationship

Clinical Record

Vitals & Biometrics

Blood pressure132/84 mmHgJul 14140/90 → 128/82 → 132/84

Full observed historyJul 2, 2025 · 140/90 mmHg → Jan 8 · 128/82 mmHg → Jul 14 · 132/84 mmHgMovement: systolic ↑ 4 vs prior (directional fact)Comparability: one comparability key — same measurement code, unit, and source series

Body weight198 lbJul 14205 → 201 → 198

Full observed historyJul 2, 2025 · 205 lb → Jan 8 · 201 lb → Jul 14 · 198 lbMovement: ↓ 3 vs prior (directional fact)Comparability: separate series from BMI — no cross-series trend is computed

BMI29.1Jul 1430.1 → 29.5 → 29.1

Full observed historyJul 2, 2025 · 30.1 → Jan 8 · 29.5 → Jul 14 · 29.1Movement: ↓ 0.4 vs prior (directional fact)Comparability: separate series from body weight — no cross-series trend is computed

Condition	Evidence span	Posture	Evidence
Type 2 diabetes mellitus	May 22–Jul 26	Current	E11.9 · metabolic · Problem list · 6 claims Type 2 diabetes mellitus Exact posture: current_active Condition evidence: EHR problem list + claims dx (kept distinct) Claims context: 6 rows · best rank 1 · most recent Jul 2, 2025
Essential hypertension	Sep 21–Jul 26	Current	I10 · cardiovascular · Problem list · 4 claims Essential hypertension Exact posture: current_active Condition evidence: EHR problem list Claims context: 4 rows · best rank 1 · most recent Jul 2, 2025

Medication	Evidence span	Posture	Evidence
Atorvastatin 40 mg	Feb 24–Jun 26	Current	statin · oral tablet · Verve order Atorvastatin 40 mg Exact posture: current candidate Source: Verve EHR order Safety posture: no governed safety flag
Lisinopril 10 mg	Aug 23–Jun 26	Current	antihypertensive · oral tablet · Verve order Lisinopril 10 mg Exact posture: current candidate Source: Verve EHR order Safety posture: no governed safety flag

Observed Biomarkers

Biomarker	Latest	Lab	Guideline	Risk v1	Trend
Hemoglobin A1c Hemoglobin A1c Latest: 6.1 % · Apr 10, 2025 · Verve EHR LAB: within ref Guideline: above threshold (2025) Risk v1: 5.81–6.2 · governed v1 band · 0.30 History: May 2, 2024 · 6.3 % → Nov 8, 2024 · 5.9 % → Apr 10, 2025 · 6.1 % Notes: Three lenses disagree and all three render. No care-gap or follow-up implication is drawn — cadence governance is pending. · LAB numeric range withheld because the supplied source flag conflicts with the source posture.	6.1 % · Apr 10, 2025 · Verve	within ref	above threshold (2025)	5.81–6.2.30	3
LDL cholesterol LDL cholesterol Latest: 118 mg/dL · Jul 10 · Verve EHR LAB: <100 · above ref (posture) · H Guideline: not wired Risk v1: 100–119.99 · governed v1 band · 0.10 History: Jul 2, 2025 · 131 mg/dL → Jul 10 · 118 mg/dL	118 mg/dL · Jul 10 · Verve	<100Habove ref (posture)	not wired	100–119.99.10	2
hsCRP hsCRP Latest: 3.4 mg/L · Jul 2 · Verve EHR LAB: not flagged (source-quiet) Guideline: above hs-CV threshold Risk v1: 3.01–6 · governed v1 band · 0.50 History: Jun 30, 2025 · 4.1 mg/L → Jul 2 · 3.4 mg/L Notes: Source-quiet but guideline-flagged: the lab did not flag it and the guideline lens did. Both render. · duplicate observation key on 2025-06-30 — row vs distinct posture shown, never silently collapsed	3.4 mg/L · Jul 2 · Verve	not flagged (source-quiet)	above hs-CV threshold	3.01–6.50	2
Triglycerides Triglycerides Latest: 168 mg/dL · Jul 10 · Verve EHR LAB: <150 · above ref (posture) · H Guideline: above threshold Risk v1: 150–199.99 · governed v1 band · 0.30 History: May 2, 2024 · 181 mg/dL → Jul 2, 2025 · 154 mg/dL → Jul 10 · 168 mg/dL	168 mg/dL · Jul 10 · Verve	<150Habove ref (posture)	above threshold	150–199.99.30	3
Total cholesterol Total cholesterol Latest: 204 mg/dL · Jul 10 · Verve EHR LAB: above ref (posture) Guideline: not wired Risk v1: 180–259.99 · governed v1 band · 0.00 History: May 2, 2024 · 208 mg/dL → Jul 2, 2025 · 212 mg/dL → Jul 10 · 204 mg/dL	204 mg/dL · Jul 10 · Verve	above ref (posture)	not wired	180–259.99.00	3
HDL cholesterol HDL cholesterol Latest: 44 mg/dL · Jul 10 · Verve EHR LAB: >40 · within ref Guideline: not wired Risk v1: 40–44.99 · governed v1 band · 0.20 History: May 2, 2024 · 45 mg/dL → Jul 2, 2025 · 42 mg/dL → Jul 10 · 44 mg/dL	44 mg/dL · Jul 10 · Verve	>40within ref	not wired	40–44.99.20	3
Creatinine Creatinine Latest: 1.1 mg/dL · Feb 10, 2023 · Marathon lab LAB: within ref Guideline: not wired Risk v1: 1.1–1.49 · governed v1 band · 0.10 History: Mar 4, 2022 · 1.0 mg/dL → Feb 10, 2023 · 1.1 mg/dL Notes: Not classified stale — cadence governance is pending for this item.	1.1 mg/dL · Feb 10, 2023 · Marathon	within ref	not wired	1.1–1.49.10	2
TSH TSH Latest: 2.4 / 3.9 mIU/L · Jul 10 · Verve EHR LAB: not evaluable Guideline: not wired Risk v1: excluded — conflicted observation History: Jul 10 · 3.9 mIU/L → Jul 10 · 2.4 mIU/L Notes: Two source values on the same day. Conflicted evidence contributes to observed coverage and never resolves itself into one value on the reading surface. · conflicted — a second source value of 3.9 carries the same date · conflicted — two same-day source values, kept distinct	Conflicted · 2 values · Jul 10	not evaluable	not wired	excluded — conflicted observation	2 sources

Foundational Health Assessment

58 expected items listed

55 universal3 conditional0 not applicableapplicable denominator 55

Risk22/100v1 · ActionDepth34/5562%Risk markers12/2548%Domains4/5affected · 6/9 coveredStandard-1816/1889%

Risk by domainDomain maximum · contributing current biomarkers

Inflammation & immune502/2 risk markershsCRP

hsCRP3.4 mg/Lscore 0.50band 3.01–6White Blood Cells (WBC) - Total6.4 K/µLscore 0.10band 5.7–6.49

Cardiometabolic305/6 risk markersA1C

A1C6.1 %score 0.30band 5.81–6.2Triglyceride168 mg/dLscore 0.30band 150–199.99Glucose104 mg/dLscore 0.20band 95–114.99HDL44 mg/dLscore 0.20band 40–44.99LDL118 mg/dLscore 0.10band 100–119.99Total cholesterol (aka lipoproteins & sugars)204 mg/dLscore 0.00band 180–259.99

Hepatic & protein203/7 risk markersALT (SGPT)

ALT (SGPT)31 U/Lscore 0.20band 29–49.99Gamma glutamyl transferase (GGT)41 U/Lscore 0.20band 25.01–50AST (SGOT)27 U/Lscore 0.10band 26–34.99Albumin4.3 g/dLscore 0.00band 4–4.99Alkaline phosphatase78 U/Lscore 0.00band 70–99.99Bilirubin, Total0.7 mg/dLscore 0.00band 0.1–1.29Protein - Total7.1 g/dLscore 0.00band 6.9–7.390000000000001

Renal & metabolic102/7 risk markersBUN (Blood Urea Nitrogen)

BUN (Blood Urea Nitrogen)16 mg/dLscore 0.10band 16–24.99Creatinine1.1 mg/dLscore 0.10band 1.1–1.49Calcium9.4 mg/dLscore 0.00band 9.2–9.99Carbon dioxide25 mmol/Lscore 0.00band 25–29.99Chloride102 mmol/Lscore 0.00band 101–106.99Potassium4.2 mmol/Lscore 0.00band 4–4.49Sodium139 mmol/Lscore 0.00band 135–141.99

Hematologic & nutrient00/3 risk markersHematocrit

Hematocrit41.2 %score 0.00band 39–45.99MCH30 pgscore 0.00band 27–31.99MCHC33.5 g/dLscore 0.00band 32–34.99

Biomarker	Latest	Lab	Guideline	Risk v1	Trend
Vitals & biometrics3/4 observed1 gapsGL 0Risk 0/0
Blood pressure Blood pressure Latest: 132/84 mmHg · Jul 14 LAB: elevated (posture) Guideline: not wired Risk v1: not in v1 score output History: No observed history	132/84 mmHg · Jul 14	elevated (posture)	not wired	not in v1 score output	—
Body weight Body weight Latest: 198 lb · Jul 14 LAB: none Guideline: not wired Risk v1: not in v1 score output History: No observed history	198 lb · Jul 14	none	not wired	not in v1 score output	—
BMI BMI Latest: 29.1 · Jul 14 LAB: elevated (observation posture) Guideline: not wired Risk v1: not in v1 score output History: No observed history Notes: Observation posture only — not a risk verdict.	29.1 · Jul 14	elevated (observation posture)	not wired	not in v1 score output	—
Heart rate Heart rate Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Metabolic & glycemic2/4 observed2 gapsGL 1Risk 2/2
Hemoglobin A1c Hemoglobin A1c Latest: 6.1 % · Apr 10, 2025 · Verve EHR LAB: within ref Guideline: above threshold (2025) Risk v1: 5.81–6.2 · governed v1 band · 0.30 History: May 2, 2024 · 6.3 % → Nov 8, 2024 · 5.9 % → Apr 10, 2025 · 6.1 % Notes: Three lenses disagree and all three render. No care-gap or follow-up implication is drawn — cadence governance is pending. · LAB numeric range withheld because the supplied source flag conflicts with the source posture.	6.1 % · Apr 10, 2025 · Verve	within ref	above threshold (2025)	5.81–6.2.30	3
Glucose Glucose Latest: 104 mg/dL · Jul 10 LAB: 70–99 · above ref (posture) · H Guideline: not wired Risk v1: 95–114.99 · governed v1 band · 0.20 History: No observed history	104 mg/dL · Jul 10	70–99Habove ref (posture)	not wired	95–114.99.20	—
Homocysteine Homocysteine Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Fasting insulin Fasting insulin Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history Notes: Clinical validation pending · scoring validation pending.	Never observed	—	—	not in v1 score output	—
Lipids & cardiometabolic4/5 observed1 gapsGL 1Risk 3/4
Total cholesterol Total cholesterol Latest: 204 mg/dL · Jul 10 · Verve EHR LAB: above ref (posture) Guideline: not wired Risk v1: 180–259.99 · governed v1 band · 0.00 History: May 2, 2024 · 208 mg/dL → Jul 2, 2025 · 212 mg/dL → Jul 10 · 204 mg/dL	204 mg/dL · Jul 10 · Verve	above ref (posture)	not wired	180–259.99.00	3
LDL cholesterol LDL cholesterol Latest: 118 mg/dL · Jul 10 · Verve EHR LAB: <100 · above ref (posture) · H Guideline: not wired Risk v1: 100–119.99 · governed v1 band · 0.10 History: Jul 2, 2025 · 131 mg/dL → Jul 10 · 118 mg/dL	118 mg/dL · Jul 10 · Verve	<100Habove ref (posture)	not wired	100–119.99.10	2
HDL cholesterol HDL cholesterol Latest: 44 mg/dL · Jul 10 · Verve EHR LAB: >40 · within ref Guideline: not wired Risk v1: 40–44.99 · governed v1 band · 0.20 History: May 2, 2024 · 45 mg/dL → Jul 2, 2025 · 42 mg/dL → Jul 10 · 44 mg/dL	44 mg/dL · Jul 10 · Verve	>40within ref	not wired	40–44.99.20	3
Triglycerides Triglycerides Latest: 168 mg/dL · Jul 10 · Verve EHR LAB: <150 · above ref (posture) · H Guideline: above threshold Risk v1: 150–199.99 · governed v1 band · 0.30 History: May 2, 2024 · 181 mg/dL → Jul 2, 2025 · 154 mg/dL → Jul 10 · 168 mg/dL	168 mg/dL · Jul 10 · Verve	<150Habove ref (posture)	above threshold	150–199.99.30	3
Lp(a) / Lipoprotein(a) Lp(a) / Lipoprotein(a) Latest: Source unavailable LAB: unavailable Guideline: unavailable Risk v1: not in v1 score output History: No observed history Notes: Approved universal member; no connected source. Cadence once_in_adulthood is the only governed cadence in the contract — a baseline satisfaction rule, not a bar to governed repeat testing. Never rendered as normal.	Source unavailable	unavailable	unavailable	not in v1 score output	—
Hepatic7/7 observed0 gapsGL 0Risk 3/7
ALT ALT Latest: 31 U/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 29–49.99 · governed v1 band · 0.20 History: No observed history	31 U/L · Jul 10	within ref	not wired	29–49.99.20	—
AST AST Latest: 27 U/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 26–34.99 · governed v1 band · 0.10 History: No observed history	27 U/L · Jul 10	within ref	not wired	26–34.99.10	—
Albumin Albumin Latest: 4.3 g/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 4–4.99 · governed v1 band · 0.00 History: No observed history Notes: Mapping posture pending — the marker identity is not promoted yet.	4.3 g/dL · Jul 10	within ref	not wired	4–4.99.00	—
Alkaline phosphatase Alkaline phosphatase Latest: 78 U/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 70–99.99 · governed v1 band · 0.00 History: No observed history	78 U/L · Jul 10	within ref	not wired	70–99.99.00	—
Bilirubin, total Bilirubin, total Latest: 0.7 mg/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 0.1–1.29 · governed v1 band · 0.00 History: No observed history	0.7 mg/dL · Jul 10	within ref	not wired	0.1–1.29.00	—
GGT GGT Latest: 41 U/L · Jul 10 LAB: 8–71 · within ref Guideline: not wired Risk v1: 25.01–50 · governed v1 band · 0.20 History: No observed history	41 U/L · Jul 10	8–71within ref	not wired	25.01–50.20	—
Total protein Total protein Latest: 7.1 g/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 6.9–7.390000000000001 · governed v1 band · 0.00 History: No observed history	7.1 g/dL · Jul 10	within ref	not wired	6.9–7.390000000000001.00	—
Renal & electrolytes8/10 observed2 gapsGL 0Risk 2/7
Creatinine Creatinine Latest: 1.1 mg/dL · Feb 10, 2023 · Marathon lab LAB: within ref Guideline: not wired Risk v1: 1.1–1.49 · governed v1 band · 0.10 History: Mar 4, 2022 · 1.0 mg/dL → Feb 10, 2023 · 1.1 mg/dL Notes: Not classified stale — cadence governance is pending for this item.	1.1 mg/dL · Feb 10, 2023 · Marathon	within ref	not wired	1.1–1.49.10	2
eGFR eGFR Latest: value present, unmapped · Feb 10, 2023 LAB: unavailable Guideline: unavailable Risk v1: excluded — unmapped observation History: No observed history Notes: CKD-EPI 2021 LOINC drift — a named limitation resolved by a future panel version, never by widening the standard 18 in place.	Unmapped · value present, unmapped · Feb 10, 2023	unavailable	unavailable	excluded — unmapped observation	—
BUN BUN Latest: 16 mg/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 16–24.99 · governed v1 band · 0.10 History: No observed history	16 mg/dL · Jul 10	within ref	not wired	16–24.99.10	—
Sodium Sodium Latest: 139 mmol/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 135–141.99 · governed v1 band · 0.00 History: No observed history	139 mmol/L · Jul 10	within ref	not wired	135–141.99.00	—
Potassium Potassium Latest: 4.2 mmol/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 4–4.49 · governed v1 band · 0.00 History: No observed history	4.2 mmol/L · Jul 10	within ref	not wired	4–4.49.00	—
Calcium Calcium Latest: 9.4 mg/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 9.2–9.99 · governed v1 band · 0.00 History: No observed history	9.4 mg/dL · Jul 10	within ref	not wired	9.2–9.99.00	—
Bicarbonate / CO₂ Bicarbonate / CO₂ Latest: 25 mmol/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 25–29.99 · governed v1 band · 0.00 History: No observed history	25 mmol/L · Jul 10	within ref	not wired	25–29.99.00	—
Chloride Chloride Latest: 102 mmol/L · Jul 10 LAB: within ref Guideline: not wired Risk v1: 101–106.99 · governed v1 band · 0.00 History: No observed history	102 mmol/L · Jul 10	within ref	not wired	101–106.99.00	—
Magnesium Magnesium Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Uric acid Uric acid Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Hematologic7/14 observed7 gapsGL 0Risk 1/4
Hemoglobin Hemoglobin Latest: 13.8 g/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: excluded — model identity unresolved History: No observed history	13.8 g/dL · Jul 10	within ref	not wired	excluded — model identity unresolved	—
WBC WBC Latest: 6.4 K/µL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 5.7–6.49 · governed v1 band · 0.10 History: No observed history	6.4 K/µL · Jul 10	within ref	not wired	5.7–6.49.10	—
Platelets Platelets Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history Notes: Expected standard-18 item with no observed result — an unknown, not a normal platelet count.	Never observed	—	—	not in v1 score output	—
Hematocrit Hematocrit Latest: 41.2 % · Jul 10 LAB: within ref Guideline: not wired Risk v1: 39–45.99 · governed v1 band · 0.00 History: No observed history	41.2 % · Jul 10	within ref	not wired	39–45.99.00	—
RBC RBC Latest: 4.6 M/µL · Jul 10 LAB: within ref Guideline: not wired Risk v1: excluded — model identity unresolved History: No observed history	4.6 M/µL · Jul 10	within ref	not wired	excluded — model identity unresolved	—
MCV MCV Latest: 89 fL · Jul 10 LAB: within ref Guideline: not wired Risk v1: excluded — model identity unresolved History: No observed history	89 fL · Jul 10	within ref	not wired	excluded — model identity unresolved	—
MCH MCH Latest: 30.0 pg · Jul 10 LAB: within ref Guideline: not wired Risk v1: 27–31.99 · governed v1 band · 0.00 History: No observed history	30.0 pg · Jul 10	within ref	not wired	27–31.99.00	—
MCHC MCHC Latest: 33.5 g/dL · Jul 10 LAB: within ref Guideline: not wired Risk v1: 32–34.99 · governed v1 band · 0.00 History: No observed history	33.5 g/dL · Jul 10	within ref	not wired	32–34.99.00	—
RDW RDW Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Neutrophils, absolute Neutrophils, absolute Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Lymphocytes, absolute Lymphocytes, absolute Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Monocytes, absolute Monocytes, absolute Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Eosinophils, absolute Eosinophils, absolute Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Basophils, absolute Basophils, absolute Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Iron studies0/4 observed4 gapsGL 0Risk 0/0
Iron Iron Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Ferritin Ferritin Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
TIBC TIBC Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Transferrin saturation Transferrin saturation Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Thyroid & endocrine1/2 observed1 gapsGL 0Risk 0/0
TSH TSH Latest: 2.4 / 3.9 mIU/L · Jul 10 · Verve EHR LAB: not evaluable Guideline: not wired Risk v1: excluded — conflicted observation History: Jul 10 · 3.9 mIU/L → Jul 10 · 2.4 mIU/L Notes: Two source values on the same day. Conflicted evidence contributes to observed coverage and never resolves itself into one value on the reading surface. · conflicted — a second source value of 3.9 carries the same date · conflicted — two same-day source values, kept distinct	Conflicted · 2 values · Jul 10	not evaluable	not wired	excluded — conflicted observation	2 sources
Free T4 Free T4 Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Nutrient0/3 observed3 gapsGL 0Risk 0/0
Vitamin D, 25-OH Vitamin D, 25-OH Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history Notes: Expected standard-18 item, never observed for this person — an important unknown, not a normal vitamin D level.	Never observed	—	—	not in v1 score output	—
Vitamin B12 Vitamin B12 Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Folate Folate Latest: Never observed LAB: — Guideline: — Risk v1: not in v1 score output History: No observed history	Never observed	—	—	not in v1 score output	—
Inflammation1/1 observed0 gapsGL 1Risk 1/1
hsCRP hsCRP Latest: 3.4 mg/L · Jul 2 · Verve EHR LAB: not flagged (source-quiet) Guideline: above hs-CV threshold Risk v1: 3.01–6 · governed v1 band · 0.50 History: Jun 30, 2025 · 4.1 mg/L → Jul 2 · 3.4 mg/L Notes: Source-quiet but guideline-flagged: the lab did not flag it and the guideline lens did. Both render. · duplicate observation key on 2025-06-30 — row vs distinct posture shown, never silently collapsed	3.4 mg/L · Jul 2 · Verve	not flagged (source-quiet)	above hs-CV threshold	3.01–6.50	2
Medication evidence1/1 observed0 gapsGL 0Risk 0/0
Medication-evidence presence Medication-evidence presence Latest: present · 2 current-candidate orders · Jun 30 LAB: n/a Guideline: n/a Risk v1: not in v1 score output History: No observed history Notes: Presence, not adherence. No adherence evidence exists for this person.	present · 2 current-candidate orders · Jun 30	n/a	n/a	not in v1 score output	—
Conditional expected — outside the applicable denominator0/3 observed3 gapsGL 0Risk 0/0
uACR / albumin-creatinine ratio uACR / albumin-creatinine ratio Latest: Applicability pending LAB: available Guideline: available Risk v1: not in v1 score output History: No observed history Notes: Source available at low volume. Counted neither applicable nor not-applicable until its governed applicability rule is ratified.	Applicability pending	available	available	not in v1 score output	—
ApoB ApoB Latest: Applicability pending LAB: unavailable Guideline: unavailable Risk v1: not in v1 score output History: No observed history Notes: Approved conditional member with no connected source and no governed applicability rule.	Applicability pending	unavailable	unavailable	not in v1 score output	—
Cystatin C Cystatin C Latest: Applicability pending LAB: unavailable Guideline: unavailable Risk v1: not in v1 score output History: No observed history Notes: Approved conditional member with no connected source and no governed applicability rule.	Applicability pending	unavailable	unavailable	not in v1 score output	—

Assessment definitions and governance

Item states reconcile to the measures above: 32 observed — recency not classifiable · 1 observed — unmapped · 1 conflicted · 20 never observed · 1 source unavailable = 55. Cadence governance is pending for every item except Lp(a), so no item here is aging, stale, part of current completeness, a care gap, an overdue test, or a follow-up implication. Clinical and scoring validation are ratified for the standard 18 only. Foundational Risk Index v1 is a reviewed, internal-only prioritization index, not an outcome probability or validated clinical instrument. It scores each current observation only when its governed identity, normalized value/unit posture, and exactly one Min–MaxAdj band resolve. Unmapped, conflicted, unit-blocked, or range-undefined observations are excluded rather than treated as zero. Domain risk is the highest scored marker in that domain; person risk is the mean of scored domain maxima. Depth and Standard-18 remain separate evidence measures. Missing items are unknowns and never render as normal.

Eligibility, employer & membership

time-valid relationship periods — historical attribution never uses the current row alone

Entity	Relationship	From	To	Posture
Northstar Fabrication	primary member	2021-03-01	present	current
Marathon group	eligibility	2019-06-01	2021-02-28	historical

Derived facts & flags

every derived fact carries its definition, window, rule, null meaning, and evidence

Fact	Value	Definition	Window & rule	Null meaning	Truth posture	Evidence
Verified encounters, trailing 365 days	3	count of note-backed verified encounters with a service date in the trailing 365 days	T365 to as_ofverified encounter spine — appointment-only evidence never verifies	zero means no verified encounter, not no care	DERIVED-NOT-VALIDATED	the three encounters in the encounter ledger
Foundational observed coverage	62% (34/55)	foundational.observed_coverage.v1 — observed items over the applicable denominator	all manifested historyround-half-up to whole percent; baseline contract foundational-baseline-v1	a low percentage means little is known, never that the person is healthy	REVIEW-REQUIRED	the 55-row baseline matrix and its item states
Observed risk posture	action tier	risk tri-state over governed marker flags; the numeric score is suppressed	currentclinician-reviewed marker flag	unscored means no governed finding was observed, never low risk	REVIEW-REQUIRED — scoring-identity divergence; lab-observed evidence is the stronger spine	the marker-level findings in the baseline and lab sections
Precision/L3 findings	2	count of item-level precision findings, each carrying its own marker evidence	all manifested historyL3 band posture only — numbers suppressed by display policy	zero means no item-level finding, not an absence of risk	REVIEWED-NOT-YET-EVIDENCE-VALIDATED · internal only	A1c and hsCRP marker rows

Source evidence, claims, mappings, conflicts & provenance

where this record comes from, what is contested, and what HealthOS cannot see

Medical-claims lines18 lines11 verified · 5 candidate · 2 held · 2019-06 → 2026-07Pharmacy claimsno connected sourcenever read as no medication useSources linkedHint · Marathon

Conflicts, duplicates & mapping posture

Subject	Kind	What it means for the reading above
TSH	conflicted values	two source values carry the same collection date; both are kept distinct and neither is promoted over the other
eGFR	unmapped	CKD-EPI 2021 LOINC 98979-8 drift — the value is observed but cannot be interpreted until mapping promotes
Identity	open conflict	1 open identity conflict (0 high) — worked in Model & Data Controls, never on this reading surface
hsCRP	duplicate observation key	the upstream lab feed duplicates the 2025-06-30 observation; row grain and distinct-observation grain both render

Provenance & versions

Source manifest: PPSM-1.0 (frozen)
Baseline contract: foundational-baseline-v1 (ratified 2026-07-25)
Biomarker model: biomarker_risk_draft_v1_20260704 — internal only
Provider dimension: not promoted — names unavailable, hashes below
Location dimension: not promoted — names unavailable, keys below
Pharmacy claims: no connected pharmacy-claims source

Show evidence keys and identifiers

provider_key_hex: ab12cd34…
service_location_key_hash: 7f30e9a1…
visit_note_pointer: 8831 (unlinked)
row_semantic_hash_sha256: c41d8fe2…

Hashed keys live here and never on the clinical reading surface above.

No real data is loaded. Local mode is test-only and cannot serve an exported production snapshot. Row built Oct 14. Source Manifest PPSM-1.0 (frozen) · baseline contract foundational-baseline-v1 (ratified 2026-07-25).

Life profile

Loading member…

Loading the current profile and starting clinical evidence in parallel.

Member profileloading current profile

Loading current member data…

Clinical detailloading independently

Clinical sections will appear as soon as their route-scoped read completes.